Department of Chemical and Biological Engineering, Monash University, Clayton, Victoria 3800, Australia.
Bioresource Processing Research Institute of (BioPRIA), Monash University, Clayton, Victoria 3800, Australia.
ACS Appl Mater Interfaces. 2022 Jan 19;14(2):2501-2509. doi: 10.1021/acsami.1c17859. Epub 2022 Jan 6.
Rapid serology platforms are essential in disease pandemics for a variety of applications, including epidemiological surveillance, contact tracing, vaccination monitoring, and primary diagnosis in resource-limited areas. Laboratory-based enzyme-linked immunosorbent assay (ELISA) platforms are inherently multistep processes that require trained personnel and are of relatively limited throughput. As an alternative, agglutination-based systems have been developed; however, they rely on donor red blood cells and are not yet available for high-throughput screening. Column agglutination tests are a mainstay of pretransfusion blood typing and can be performed at a range of scales, ranging from manual through to fully automated testing. Here, we describe a column agglutination test using colored microbeads coated with recombinant SARS-CoV-2 spike protein that agglutinates when incubated with serum samples collected from patients recently infected with SARS-CoV-2. After confirming specific agglutination, we optimized centrifugal force and time to distinguish samples from uninfected vs SARS-CoV-2-infected individuals and then showed concordant results against ELISA for 22 clinical samples, and also a set of serial bleeds from one donor at days 6-10 postinfection. Our study demonstrates the use of a simple, scalable, and rapid diagnostic platform that can be tailored to detect antibodies raised against SARS-CoV-2 and can be easily integrated with established laboratory frameworks worldwide.
快速血清学平台在各种应用中对于疾病大流行至关重要,包括流行病学监测、接触者追踪、疫苗接种监测以及资源有限地区的初步诊断。基于实验室的酶联免疫吸附测定(ELISA)平台本质上是多步骤的过程,需要经过培训的人员,并且通量相对有限。作为替代方案,已经开发了基于凝集的系统;然而,它们依赖于供体红细胞,并且尚未可用于高通量筛选。柱凝集试验是输血前血型鉴定的主要方法,可以在各种规模上进行,从手动到全自动测试。在这里,我们描述了一种使用包被有重组 SARS-CoV-2 刺突蛋白的彩色微珠的柱凝集试验,当与最近感染 SARS-CoV-2 的患者的血清样本孵育时会发生凝集。在确认特异性凝集后,我们优化了离心力和时间,以区分未感染和 SARS-CoV-2 感染个体的样本,然后用 22 个临床样本和一个供体在感染后第 6-10 天的一系列样本对 ELISA 进行了一致性验证。我们的研究展示了一种简单、可扩展和快速的诊断平台的使用,可以针对 SARS-CoV-2 产生的抗体进行定制检测,并且可以轻松与全球范围内已建立的实验室框架集成。